Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Gastroenterology Associates PC

Organization Specialist · NPI 1376659870

Southern Gastroenterology Associates PC is a Specialist in South Boston, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1129 N Main St Ste G
South Boston, VA 24592-2547
Phone: (434) 572-8196
Fax: (434) 572-8341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2232 Wilborn Ave, South Boston, VA 24592-1662 — (434) 572-8196

Specialties & licences

Specialist (primary) Taxonomy 174400000X (VA)

Record details

NPI number1376659870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Palmer — Practice Manager · (434) 572-8196
NPI enumeratedAugust 21, 2006
Last updated in NPPESJanuary 7, 2022
Certification dateJanuary 7, 2022
Mailing address1129 N Main St Ste G, South Boston, VA 24592-2547

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